The UBA Membership + Gap Basic, Gap 10 and Gap 25 Products all have the same ID card. Since the optional supplemental group insurance is underwritten by Sirius America Insurance Company, the back of the ID card is slightly different then the regular UBA Membership / UBA Gap ID card available to view in another article.
This membership ID card is for: Front of ID card shows the UBA Membership Name, ID & Effective Date and any dependents along with the billing information to contact us for any billing issues.
SAMPLE OF FRONT OF ID CARD
SAMPLE OF BACK OF ID CARD
The products the member added to their UBA Membership that included optional group insurance are located on the back of the ID card along with the types of insurance available in their product and the claim's administrator phone number.
The membership ID card going forward on 09/02/21 will look like below for all UBA Membership and optional supplemental UBA Gap Products.
FRONT OF ID CARD
BACK OF ID CARD
This version of the ID card will work the same. You will see under Types of Group Insurance on the Back of the ID card. The type of insurance would say Blanket Group Accident Insurance and Group Critical Illness Insurance and then the claims contact name and number under the Claims Contact info section on the back of the ID card. This phone number is the claims administrator that handles eligibility and all claims for the type of insurance that is available in your optional supplemental UBA Gap Product.
Any questions about the Membership ID card for UBA Membership with optional supplemental UBA Gap Products: Gap Basic, Gap 10 or Gap 25, please call us at 866-438-4274.
HASA-1000 | HASA-BAM-1000